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CLAIM AND RELEASE FORM
INSTRUCTIONS : Please complete both sections of this form, have both sections docHubd, and return 3 copies with original signatures to: . (AGENCY NAME, AND
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Emergency Contact and Release (for Child Adult)
A signed copy of this form is required for participation in the event listed below. publicity, personal injury or property damage, and expenses of any nature
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Accident Waiver and Release of Liability Form
This form must be completed once annually by individuals participating in an MCC-sponsored activity. Please submit the form only once.
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